Provider Demographics
NPI:1396912853
Name:WONG, TUONG-AN BUI (DO)
Entity type:Individual
Prefix:DR
First Name:TUONG-AN
Middle Name:BUI
Last Name:WONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1300 S FIELDER RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2348
Mailing Address - Country:US
Mailing Address - Phone:817-277-2221
Mailing Address - Fax:817-459-5253
Practice Address - Street 1:1300 S FIELDER RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2348
Practice Address - Country:US
Practice Address - Phone:817-277-2221
Practice Address - Fax:817-860-4539
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM9096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine